Interpersonal Attacks on the Dignity of Members of HIV Key Populations: A Descriptive and Exploratory Study
Interpersonal Attacks on the Dignity of Members of HIV Key Populations: A Descriptive and Exploratory Study
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DOI：
10.1007/s10461-016-1578-4
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发表时间：
2017-09-01
影响因子：
4.4
通讯作者：
Stall, Ron D.
中科院分区：
文献类型：
--
作者：
Friedman, Samuel R.;Pouget, Enrique R.;Stall, Ron D.
对人民尊严的攻击有助于产生和维持污名化和人际敌意。作为开发结构性干预或社会破坏性重大事件与艾滋病毒爆发之间可能途径的创新措施的一部分，我们开发了衡量尊严否认的项目。这些措施适用于300名注射吸毒者(PWID)、260名不注射毒品的高危异性恋者和191名与不注射毒品的男性发生性关系的男性(MSM)。所有的PWID和许多高危异性恋者和MSM都是由纽约市的一项大型研究在2012-2015年间引用的，该研究使用了受访者驱动的抽样；其他人是通过链转诊招募的。所有三个主要群体的成员都相当频繁地经历了对其尊严的攻击，还报告说经常看到其他人的尊严受到攻击。亲属是尊严受到攻击的主要来源。男男性接触者比其他群体更有可能报告他们的尊严受到警察的攻击。在每个关键人群中，有40%或更多的人报告说，尊严受到攻击的情况“有时”或更多地是通过使用更多的毒品和更多的酒精来实现的。对尊严的攻击及其对健康的影响需要更多的研究和创造性的干预，其中一些可能采取非传统的形式，如社会运动。
Attacks on peoples' dignity help to produce and maintain stigmatization and interpersonal hostility. As part of an effort to develop innovative measures of possible pathways between structural interventions or socially-disruptive Big Events and HIV outbreaks, we developed items to measure dignity denial. These measures were administered to 300 people who inject drugs (PWID), 260 high-risk heterosexuals who do not inject drugs, and 191 men who have sex with men who do not inject drugs (MSM). All of the PWID and many of the high risk heterosexuals and MSM were referred to our study in 2012-2015 by a large New York city study that used respondent-driven sampling; the others were recruited by chain-referral. Members of all three key populations experienced attacks on their dignity fairly often and also reported frequently seeing others' dignity being attacked. Relatives are major sources of dignity attacks. MSM were significantly more likely to report having their dignity attacked by police officers than were the other groups. 40 % or more of each key population reported that dignity attacks are followed "sometimes" or more often both by using more drugs and also by using more alcohol. Dignity attacks and their health effects require more research and creative interventions, some of which might take untraditional forms like social movements.